| NPI | 1134375306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 55815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053720) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 106210) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MN 55815) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-06-28 |